Resumen de Tratamiento fisioterápico de la escoliosis idiopática mediante ejercicio terapéutico
Idiopathic scoliosis is a lateral curve of the spine which is diagnosed most commonly in teenagers. Its cause remains unknown, although there are many different research about this topic, it is probably a multifactorial process. Body asymmetry, trunk deformity, respiratory dysfunction or balance impairments are common clinical features of idiopathic scoliosis. There are several ways of treatment, both conservative and surgical. The aim of this study is to determine the effects of therapeutic exercise on subjects with idiopathic scoliosis. PUBMED database was searched looking for clinical trials using therapeutic exercise as treatment and published in the last five years. Seventeen clinical trials were included for the study. PEDro scale was used to assess methodological quality of trials. Schroth method, SEAS method, core training, usual exercise, aerobic exercise, resistance training, vibration platform, Klapp method and tasks oriented exercise were evaluated. Cobb angle, angle of trunk rotation, hump height, pulmonary function or quality of life are some of the most common measurements in selected trials. To conclude, Schroth method has a high level of evidence for Cobb angle reduction. SEAS method, oriented task exercise, core training and usual exercise have a medium level of evidence for Cobb angle improvement.
